Organization
COLUMBIA PAIN AND SPINE INSTITUTE
Active
Parent organization
COLUMBIA PAIN AND SPINE INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBIA PAIN AND SPINE INSTITUTE
Authorized official
MRS. PAMELA J BLANCHARD (BUSINESS OFFICE MGR)
(503) 382-8152
Entity
Organization
Contact information
Practice address
831 NW COUNCIL DR, #300, GRESHAM, OR 97030
(503) 382-8100
(503) 382-8120
Mailing address
831 NW COUNCIL DR, #300, GRESHAM, OR 97030
(503) 382-8100
(503) 382-8120
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38D2018576
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00851
BLUE CROSS
OR
05
—
500632340
—
OR
Enumeration date
10/23/2012
Last updated
10/23/2012
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